ATI RN
Endocrine Review of Systems Questions Questions
Question 1 of 5
Hypothyroidism in children:
Correct Answer: A
Rationale: The correct answer is A: Cretinism. Cretinism is a condition of severe hypothyroidism during childhood, leading to stunted growth, intellectual disability, and physical deformities. Myxoedema refers to severe hypothyroidism in adults, not children. Graves disease is a form of hyperthyroidism, opposite of hypothyroidism. Acromegaly is a condition caused by excess growth hormone, not related to thyroid dysfunction. Therefore, Cretinism is the correct answer for hypothyroidism in children due to its specific characteristics and presentation.
Question 2 of 5
Which system works closely with the endocrine system to coordinate the body's functions?
Correct Answer: A
Rationale: The correct answer is A: nervous system. The nervous system works closely with the endocrine system to coordinate the body's functions through the release of neurotransmitters and hormones. The nervous system uses electrical signals to transmit information rapidly, while the endocrine system releases hormones into the bloodstream to regulate various bodily functions. The immune system (B) protects the body from infections, the circulatory system (C) transports nutrients and oxygen throughout the body, and the respiratory system (D) is responsible for gas exchange. However, these systems do not directly coordinate with the endocrine system in the same way the nervous system does.
Question 3 of 5
A girl presents with delayed puberty, absent secondary sexual characteristics, and primary amenorrhea. She also appears to be hypertensive and hypokalemia. Which of the following enzymes is increased if there is virilization of a person?
Correct Answer: A
Rationale: The correct answer is A: 11b-Hydroxylase. In cases of virilization, increased androgen production occurs. 11b-Hydroxylase is involved in the synthesis of cortisol and aldosterone. When there is a deficiency in this enzyme, excess androgens are diverted towards the production of testosterone, leading to virilization. In contrast, choices B (17a-Hydroxylase) and C (21b-Hydroxylase) deficiencies result in decreased androgen production. Choice D, Pyruvate Kinase, is not related to steroid hormone synthesis. Therefore, the correct enzyme in this scenario is 11b-Hydroxylase.
Question 4 of 5
The posterior pituitary gland receives hormone messages from the hypothalamus via ________.
Correct Answer: B
Rationale: The correct answer is B: neurons that extend from the hypothalamus to the pituitary. The hypothalamus produces hormones that are stored and released by the posterior pituitary gland. This communication is facilitated by specialized neurons that extend from the hypothalamus to the pituitary, forming the hypothalamic-pituitary axis. These neurons release hormones into the bloodstream, which then reach the posterior pituitary gland and stimulate the release of its stored hormones. Choice A is incorrect because the posterior pituitary does not directly receive messages through a capillary network. Choice C is incorrect as Schwann cells are responsible for myelinating peripheral nerves, not hormone communication. Choice D is incorrect because while the hypothalamus communicates with the pituitary gland through neurons, it does not involve a capillary network.
Question 5 of 5
Being lipid soluble, steroids can do all the following EXCEPT:
Correct Answer: A
Rationale: Step 1: Steroids are lipid-soluble molecules, allowing them to easily diffuse through the plasma membrane of target cells. Step 2: Once inside the cell, steroids can enter the nucleus to bind to specific receptors and regulate gene expression. Step 3: Steroids do not catalyze cyclic AMP; this function is typically associated with non-steroid hormones like adrenaline. Step 4: Therefore, the correct answer is A because steroids do not catalyze cyclic AMP, unlike other hormones.